Urban adolescents' exposure to community violence: the role of support, school safety, and social constraints in a school-based sample of boys and girls.

This study examined recent exposure to violence in the community and in other settings, protective factors, and current psychological functioning among 349 young adolescents from 9 urban middle schools. The majority (76%) of adolescents reported witnessing or being victimized by at least 1 violent event in the prior 6 months. Nearly half of adolescents who had talked about their experience of a violent event reported feeling constrained from sharing their thoughts or feelings because of others' reactions. After controlling for daily hassles, more exposure to violence was associated with more self-reported posttraumatic stress disorder (PTSD) and depressive symptoms. Exposure to violence was not a significant predictor of teachers' ratings of adaptive functioning or internalizing symptoms. Support from specific individuals, perceived school safety, and lower constraints for discussing violence showed protective effects in the relation between exposure to violence and specific dimensions of psychological functioning. The implications of this research for school-based interventions are discussed.     

Examining the Pathologic Adaptation Model of Community Violence Exposure in Male Adolescents of Color

The current study examined a model of desensitization to community violence exposure—the pathologic adaptation model—in male adolescents of color. The current study included 285 African American (61%) and Latino (39%) male adolescents (W1 M age = 12.41) from the Chicago Youth Development Study to examine the longitudinal associations between community violence exposure, depressive symptoms, and violent behavior. Consistent with the pathologic adaptation model, results indicated a linear, positive association between community violence exposure in middle adolescence and violent behavior in late adolescence, as well as a curvilinear association between community violence exposure in middle adolescence and depressive symptoms in late adolescence, suggesting emotional desensitization. Further, these effects were specific to cognitive-affective symptoms of depression and not somatic symptoms. Emotional desensitization outcomes, as assessed by depressive symptoms, can occur in male adolescents of color exposed to community violence and these effects extend from middle adolescence to late adolescence.     

Buffering the effects of violence: communication and problem‐solving skills as protective factors for adolescents exposed to violence

Although many adolescents exposed to violence evidence negative outcomes, some report few deleterious effects, indicating the presence of moderating variables. This study examined the moderating role of family communication and problem solving on positive and negative outcomes in adolescents exposed to school and neighborhood violence. Participants were 90 adolescents and their parents, who completed measures of violence exposure, psychological and behavioral functioning, and communication and problem‐solving skills. Results indicated that after controlling for demographic variables and violence exposure in the home, communication and problem‐solving skills moderated the association between school and neighborhood violence exposure and psychological distress. There was no moderation of the violence exposure‐positive outcome association. The findings suggest that family communication and problem‐solving skills might serve a protective function for adolescents, thereby decreasing psychological distress in the face of school and neighborhood violence exposure. © 2011 Wiley Periodicals, Inc.     

Protective Factors for Youth Exposed to Violence in Their Communities: A Review of Family,School, and Community Moderators

This review provides a comprehensive investigation of the pattern and strength of findings in the literature regarding the environmental moderators of the relationship between exposure to community violence and mental health among children and adolescents. Twenty-nine studies met criteria for inclusion in our analysis of family, school, and community variables as moderators. Dependent variables included internalizing (e.g., anxiety, depression, posttraumatic stress disorder) and externalizing symptoms (e.g., aggression, substance use). Effect sizes for the interactions of exposure to violence and potential moderators were summarized by their patterns of protective processes. The majority of studies in the literature examined family characteristics as moderators of the exposure to violence–symptom relationship, rather than school- or community-level factors. Our results indicated more consistent patterns for (a) close family relationships and social support for internalizing symptoms and (b) close family relationships for externalizing symptoms. Overall, the most common type of protective pattern was protective-stabilizing, in which youth with higher levels of the environmental attribute demonstrate relative stability in mental health despite exposure to violence. We found no consistent evidence that parental monitoring—a dimension inversely associated with exposure to violence in prior studies—moderated the relationship between exposure to violence and symptoms. The study emphasizes the importance of strengthening family support for young people's exposure to community violence; more research is needed to provide a solid evidence base for the role of school and community-level protective factors for youth exposed to violence.     

Children's Exposure to Violence and Distress Symptoms: Influence of Caretakers' Psychological Functioning

Background

Previous studies linking violence exposure to adverse child behavior have typically relied on parental report of child symptoms without accounting for the informant's mental well-being, despite evidence that parental mental health can influence children's mental health and the parent's report of distress symptoms.

Purpose

We assess the influence of maternal depression on the violence exposure and child distress association in a subset of the Maternal Infant Smoking Study of East Boston, a prospective birth cohort.

Methods

Mothers reported on their children's violence exposure using the Survey of Children's Exposure to Community Violence (ETV) and completed the Checklist of Child Distress Symptoms (CCDS). The children also completed the ETV survey and the self-report version of the CCDS. Linear regression was used to assess the influence of violence exposure on distress symptoms adjusting for potential confounders, first using parent's report of exposure and outcome and a second time using the child's self-report. The mediating effect of maternal depression on the violence and distress association was also tested.

Results

Among the 162 children ages 7 to 11, 51% were boys and 43% self-identified as Hispanic. When using child self-report, increased violence exposure was significantly associated with a broader range of distress symptoms (numbness, arousal, intrusion, avoidance subscales) compared to parent reported findings, which were only significantly related to the intrusion and avoidance subscales. Moreover, a significant mediation effect of maternal depression on the violence and distress association was noted only when mother's report of exposure and outcome was used.

Conclusion

Considering both parent and child self-report of violence is necessary to obtain a complete picture of violence exposure because parents and children may be offering different, although equally valid information. The influence of maternal depressive symptoms on preadolescent's distress symptoms may be attributed to reporting bias as opposed to more direct effects; thus, the parent's psychological functioning should be taken into consideration when relying on parental report of the child's psychological functioning.     

Community Violence and Children's Psychological Well-Being: Does Parental Monitoring Matter?

Poor, inner-city children are exposed to inordinately high rates of community violence. Although the link between exposure to violence and adverse mental health outcomes is well documented, less attention has focused on factors that may buffer children from negative outcomes. Using a sample of 163 4th- and 5th-grade children, this study investigated whether children's perceptions of parental monitoring moderate the relation between children's violence exposure and their psychological well-being, as assessed by depression and hopelessness. Greater exposure to community violence was associated with more symptoms of depression and feelings of hopelessness. Moreover, parental monitoring buffered to a certain extent the relation between violence exposure and psychological functioning. Increased monitoring had a positive impact on the psychological well-being of children who were less exposed to violence; however, as violence exposure increased, the impact of parental monitoring was attenuated.     

Damaged youth: prevalence of community violence exposure and implications for adolescent well‐being in post‐conflict Northern Ireland

As Northern Ireland transitions to a post‐conflict society the nature of violent victimization and its influence on adolescents following the “Troubles” becomes an even more important area of interest. Adolescents are particularly at risk of victimization and associated social, emotional, and psychological health problems. In this analysis of the fifth year of the Belfast Youth Development Study (BYDS), the prevalence and implications of exposure to violence is examined for a sample of 3,828 young people (aged 15–16 years). Knowledge of violent events was particularly prevalent suggesting that the social and psychological legacy of the “Troubles” may pass onto post‐conflict generations. Over three quarters of young people had experienced violence within their community. Exposure was associated with higher levels of depression, psychotic symptoms, and substance misuse. The findings suggest that adolescents in Northern Ireland are vulnerable to both direct and vicarious victimization, and, subsequently, to significant risks to psychological well‐being. © 2009 Wiley Periodicals, Inc.     

The psychological effects of political and domestic violence on Central American and Mexican immigrant mothers and children

The goal of this study was to compare the psychosocial adjustment of 70 immigrant mothers and their children from Mexico and countries in Central America. In particular, we traced the effects of political violence on Central American refugee families and domestic violence on resettled Mexican women and children. Mothers and children were interviewed about political and domestic violence they had witnessed and experienced, and their current mental health, including symptoms of post-traumatic stress disorder. Central American refugee children appeared indistinguishable on mental health indices from Mexican children residing in violent homes. Both groups of children had elevated psychological symptoms when compared to Mexican immigrant children from nonviolent backgrounds. Central American mothers were most likely to meet the clinical criteria of post-traumatic stress disorder. We examined whether the mothers' post-traumatic stress symptoms, fathers' demise, or general stressors mediated the effects of violence on the children's mental health. The overall effects of war on children are mediated by maternal mental health and the specific associated risk of having lost a father to violent death. Mexican immigrant children were additionally affected by their mothers' employment. Our findings show similar effects on children of growing up with different forms of violence.     

Violence exposure and depressive symptoms among adolescents and young adults disconnected from school and work

The psychological effects of exposure to different types of violence among urban adolescents and young adults are not yet well understood. This study investigated exposure to neighborhood violence, relationship violence, and forced sex among 677 urban African Americans aged 16–23 enrolled at an employment and training center. We assessed prevalence of each violence exposure type, the relation of each exposure type to depressive symptoms, and the extent to which exposure to multiple violence types is additively associated with depressive symptoms. Potential gender differences were also explored. Nearly 60% of our sample reported violence exposure, with males reporting more neighborhood violence and females reporting more forced sex. For both genders, each violence exposure domain was independently associated with depressive symptoms, and exposures in multiple domains had an additive effect on depressive symptom levels. These findings have implications for developing strategies to improve mental health outcomes among urban adolescents and young adults. © 2010 Wiley Periodicals, Inc.     

Schools,Parents, and Youth Violence: A Multilevel,Ecological Analysis

Using data from the National Longitudinal Study of Adolescent Health (Add Health), this study utilized an ecological approach to investigate the joint contribution of parents and schools on changes in violent behavior over time among a sample of 6,397 students (54% female) from 125 schools. This study examined the main and interactive effects of parent and school connectedness as buffers of violent behavior within a hierarchical linear model, focusing on both students and schools as the unit of analysis. Results show that students who feel more connected to their schools demonstrate reductions in violent behavior over time. On the school level, our findings suggest that school climate serves as a protective factor for student violent behavior. Finally, parent and school connectedness appear to work together to buffer adolescents from the effects of violence exposure on subsequent violent behavior.     

Schools, parents, and youth violence: a multilevel, ecological analysis.

Using data from the National Longitudinal Study of Adolescent Health (Add Health), this study utilized an ecological approach to investigate the joint contribution of parents and schools on changes in violent behavior over time among a sample of 6,397 students (54% female) from 125 schools. This study examined the main and interactive effects of parent and school connectedness as buffers of violent behavior within a hierarchical linear model, focusing on both students and schools as the unit of analysis. Results show that students who feel more connected to their schools demonstrate reductions in violent behavior over time. On the school level, our findings suggest that school climate serves as a protective factor for student violent behavior. Finally, parent and school connectedness appear to work together to buffer adolescents from the effects of violence exposure on subsequent violent behavior.     

Exploring Primary and Secondary Variants of Psychopathy in Adolescents in Detention and in the Community

The current study aims to ascertain how different variants of callous–unemotional traits differ in their psychopathology, exposure to aggression and violence, and aggressive and violent behavior. If secondary/distressed variants (high in callous–unemotional traits and high in anxiety) and primary/traditional variants (high in callous–unemotional traits and low in anxiety) differ along these dimensions, it may speak to their different etiologies, treatment needs (e.g., trauma focused), and responsiveness to treatment. The current sample consisted of 799 adolescents from high schools (n = 419) and juvenile detention centers (n = 380). Participants were interviewed regarding their callous–unemotional traits, psychopathology, exposure to aggression and violence, and aggressive and violent behavior. Parents/guardians and teachers/staff members also reported on participants’ callous–unemotional traits and aggressive and violent behavior. A model-based cluster analysis indicated that there were four clusters in the data set, based on callous–unemotional traits and anxiety: a nonvariant cluster, a primary/traditional callous–unemotional cluster, a secondary/distressed callous–unemotional cluster, and a “fearful” cluster. Secondary/distressed variants of psychopathy exhibited significantly greater symptoms of depression and psychoticism, more exposure to low level aggression and neighborhood violence, and more aggressive and violent behavior, as compared to the other clusters. Adolescents with callous–unemotional traits might not be a homogeneous group, but rather may differ in attitudes, behaviors, and exposure to risk, therefore differing in their treatment needs and responsiveness.     

Exposure to violence against a family member and internalizing symptoms in Colombian adolescents: the protective effects of family support.

Associations between exposure to serious violence against a family member and internalizing symptoms, and the protective effects of support from family versus friends, were examined in 5,775 adolescents (50% female; mean age = 15.2 years, SD = 2.0) with data from a national, random household survey of residents in Colombia, South America. After accounting for the effects of age, gender, and family life events other than violence, support from family buffered the relations between exposure to violence and adjustment; this relation was strongest for girls and younger adolescents. Disclosure to friends appeared to be protective for younger adolescents but harmful for older adolescents, and this relation was only observed for hopelessness. Results are discussed in terms of cognitive processing models of adjustment to violence.     

Altruism as a buffer for antisocial behavior for African American adolescents exposed to community violence

Altruistic prosocial behavior during adolescence is consistently associated with a myriad of positive outcomes including fewer risk‐taking behaviors and greater positive affect. Although limited, some literature suggests altruism may be an important protective factor in attenuating the effects of stressful life events such as exposure to community violence. Unfortunately, work examining altruism in African American adolescents is quite limited. The study examined the moderating role of altruism on relationships between exposure to violence and antisocial behavior in a sample of African American adolescents (136 females, 71 males). Participant's age ranged from 13 to 18. Results indicated that boys and girls engaged in similar levels of altruistic behaviors, but these behaviors were especially important in moderating the effects of community violence on antisocial behaviors for boys. The findings suggest that encouraging altruistic behaviors in boys may be critical in improving outcomes for adolescent males developing in violent ecologies.     

The Relations Among Abuse,Depression, and Adolescents' Autobiographical Memory

This study examined the relations among early and recent experiences with abuse, depression, and adolescents' autobiographical memory in a longitudinal study of family violence. Participants' (N = 134) exposure to violence was documented when they were 6 to 12 years old and again when they were 12 to 18 years old. The second assessment included measures of depression and autobiographical memory for childhood experiences. Memory problems were more consistently related to current circumstances than childhood abuse history. For instance, depressive symptoms were associated with increased rates of "overgeneral" childhood memories. Recent exposure to family violence predicted more overgeneral memories, shorter memories, and lower rates of negative memories. The patterns suggest that adolescents currently stressed by depression or family violence might strategically avoid the details of past experiences to regulate affect.     

Media violence exposure and executive functioning in aggressive and control adolescents

The relationship between media violence exposure and executive functioning was investigated in samples of adolescents with no psychiatric diagnosis or with a history of aggressive-disruptive behavior. Age-, gender-, and IQ-matched samples of adolescents who had no Diagnostic and Statistical Manual of Mental Disorders-fourth edition (DSM-IV; American Psychiatric Association, 1994) diagnosis (N = 27) and of adolescents who had DSM-IV Disruptive Behavior Disorder diagnoses (N = 27) completed measures of media violence exposure and tests of executive functioning. Moderate to strong relationships were found between higher amounts of media violence exposure and deficits in self-report, parent-report, and laboratory-based measures of executive functioning. A significant diagnosis by media violence exposure interaction effect was found for Conners' Continuous Performance Test scores, such that the media violence exposure-executive functioning relationship was stronger for adolescents who had Disruptive Behavior Disorder diagnoses. Results indicate that media violence exposure is related to poorer executive functioning, and this relationship may be stronger for adolescents who have a history of aggressive-disruptive behavior.     

Individual measurement of exposure to everyday violence among elementary schoolchildren across various settings

One hundred and thirty‐four second‐ and fourth‐grade students from two schools in Israel were measured individually using a Hebrew adaptation of the Violence Exposure Scale—Revised (VEX‐R), a self‐report scale measuring children's exposure to everyday violence. Children reported exposure as a function of situation (witness or victim) and setting (home, school, or neighborhood). They also reported on their own distress symptoms. The children's mothers also completed the VEX‐R, indicating how they expected their child would report, and the Child Behavior Checklist. Children reported more exposure to violence at school compared to either the home or neighborhood, and more as witnesses than victims. Most of the violence reported was mild (e.g., pushing, chasing), while severe violence (e.g., shooting, stabbing) was rare in all settings. Children who reported themselves as frequent victims of violence were rated by their mothers as exhibiting more behavior problems than those reporting less victimization. The results support the validity of the VEX‐R as a measure of exposure to violence for young children. © 2001 John Wiley & Sons, Inc.     

Psychological,Cognitive, and Interpersonal Correlates of Attributional Change in Adolescents

Examined the role of attributional style in adolescent's psychological functioning. Specifically, we examined the cross-sectional correlates of attributional style, as well as the correlates of changes in attributional style over time. A sample of 841 adolescents with either maladaptive or adaptive attributional styles completed a battery of self-report measures at 2 points in time, 1 year apart. Measures assessed depressive symptoms and suicidality, cognitive functioning (self-esteem, pessimism, coping skills), and interpersonal functioning (social competence, conflict with parents, social support from family and friends). Results indicated that attributional style is associated with multiple depression-related variables. In addition, youth experienced significant changes in their attributional styles over time (from adaptive to maladaptive and vice versa). Finally, changes in attributional style were associated with changes in psychological symptoms and other psychosocial variables. Results are discussed in terms of their implications for the prevention and treatment of adolescent depression.     

Social Support Factors as Moderators of Community Violence Exposure Among Inner-City African American Young Adolescents

Using both surveys and the experience sampling method (ESM), community violence exposure, social support factors, and depressive and anxiety symptoms were assessed longitudinally among inner-city African American adolescents. Moderator models were tested to determine protective factors for youth exposed to community violence. Several social support factors emerged as protective–stabilizing forces for witnesses of violence both cross-sectionally and longitudinally, including maternal closeness, time spent with family, social support, and daily support (ESM). Contrary to hypotheses, several social support factors demonstrated a promotive–reactive effect such that, in conditions of high victimization, they failed to protect youth from developing symptoms. Effects did not differ by outcome or sex, though sex differences in findings emerged. Protective-stabilizing effects occurred more for witnessing violence, whereas promotive–reactive patterns occurred more for victimization. Results affirm social support factors as protective from the adverse effects of violence exposure, but they also suggest that some factors typically conceived as contributing to resilience might at times fail to protect youth in conditions of extreme risk.     

Exposure to Community Violence and the Trajectory of Internalizing and Externalizing Symptoms in a Sample of Low-Income Urban Youth

This study examined trajectories of psychopathology in a sample of low-income urban youth and tested exposure to community violence as a predictor of these trajectories. Self-report and parent-report survey measures of psychological problems and exposure to community violence were collected annually over 3 years from a sample of 364 fifth- to ninth-grade low-income urban youth (64% female; 95% youth of color). Linear growth models showed that youth experienced declines in both internalizing and externalizing symptoms across adolescence. Exposure to community violence was more strongly associated with externalizing symptoms than with internalizing symptoms but predicted declines in both types of symptoms. Results also indicated that youth reported more internalizing and externalizing symptoms than their parents reported for them. Exposure to community violence may explain unique trajectories of mental health problems among low-income urban youth. In addition, youth efforts to adopt a tough façade in the face of community violence could lead to higher rates of externalizing problems relative to internalizing problems, whereas desensitization processes may better explain reductions in both types of symptoms over time. Finally, youth report may be more valid than parent report in the context of urban poverty.